Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Risk Factors for Mutidrug-Resistant Organisms Carriage Among Home Health Nursing Patients

의료기관 가정간호 대상자의 다제내성균 보유 위험요인

  • Park, Min-A (Home Care Nursing Center, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Jang, Jung Sook (Home Care Nursing Center, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Cho, Young Yi (Home Care Nursing Center, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Choi, Ji Yeon (Home Care Nursing Center, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Lee, Jong-Eun (College of Nursing, The Catholic University of Korea)
  • 박민아 (서울성모병원 가정간호센터) ;
  • 장정숙 (서울성모병원 가정간호센터) ;
  • 조영이 (서울성모병원 가정간호센터) ;
  • 최지연 (서울성모병원 가정간호센터) ;
  • 이종은 (가톨릭대학교 간호대학)
  • Received : 2023.04.14
  • Accepted : 2023.08.22
  • Published : 2023.08.31
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Abstract

Purpose: This study was conducted to identify the status and risk factors for the carriage of multidrug-resistant organisms carriage in home health nursing patients. Methods: This retrospective study enrolled 122 participants who received home health nursing and analyzed the data obtained from chart review and diagnostic tests for multidrug-resistant organisms carriage from January 2019 to January 2021. Results: Multivariate analysis revealed that surgical procedures in the preceding year, injectable antibiotic use in the preceding month, pressure ulcer, and indwelling nasal tubes were significantly associated with multi-drug resistant infection. Conclusions: Infection-control strategies need to be developed and customized for use in the home health-nursing service for patients who are carriers of multidrug-resistant organisms.

Keywords

Acknowledgement

이 논문은 2022년 한국가정간호학회의 연구비 지원에 의하여 수행되었음.

References

  1. Statistics Korea. 2022 statistics on the aged. Daejeon, South Korea. 
  2. Han Nah Park, In Sook Lee, Ji Eun Kim, Soh Yeon Gweon, Ji Na Choo. Knowledge, Attitude, and Practice towards Infection Control among Community-visiting Nurses. Journal of Korean Academic Society of Home Health Care Nursing. 2022;29(1):18-30.  https://doi.org/10.22705/JKASHCN.2022.29.1.18
  3. Korea Disease Control and Prevention Agency. KARMS 2016 Annual Report. In: Agency KDCaP, editor.: Korea Disease Control and Prevention Agency; 2016. p. 74. 
  4. Korea Disease Control and Prevention Agency. Epidemiology and management of infectious disease(1st ed). Cheong-ju: Hanmi Medicine; 2021. p. 809. 
  5. Yeon Ju Lee, Ji Eun Kang, Jung Yeon Ham, Ja Gyun Lee, Rhie. SJ. Risk Factors of Carbapenem-resistant Enterobacteriaceae Acquisition at a Community-based Hospital. Korean Journal of Clinical Pharmacy. 2020;30(2):120-126.  https://doi.org/10.24304/kjcp.2020.30.2.120
  6. Sun Hee Park. Management of multi-drug resistant organisms in healthcare settings. Journal of the Korean Medical Association. 2018;61(1). https://doi.org/10.5124/jkma.2018.61.1.26. 
  7. Hayden MK, Blom DW, Lyle EA, Moore CG, Weinstein RA. Risk of hand or glove contamination after contact with patients colonized with vancomycin-resistant enterococcus or the colonized patients' environment. Infection Control & Hospital Epidemiology. 2008;29(2):149-154. https://doi.org/10.1086/524331. 
  8. Kim ES, Song JS, Lee HJ, Choe PG, Park KH, Cho JH, et al. A survey of community-associated methicillin-resistant Staphylococcus aureus in Korea. Journal of Antimicrobial Chemotherapy. 2007;60(5):1108-1114. https://doi.org/10.1093/jac/dkm309. 
  9. Jae-Hoon Song, Eun-Jeong Joo. The crisis of antimicrobial resistance: current status and future strategies. Journal of the Korean Medical Association. 2010;53(11):999-1005.  https://doi.org/10.5124/jkma.2010.53.11.999
  10. Song CR, Lee MK, Hwang MS, Yoon YM. The Current State of Hospital-based Home Care Services in Korea: Analysis of Data on Insurance Claims for Home Care from 2007 to 2012. Journal of Korean Academy Society of Home Health Care Nursing. 2014;21(2):127-138. 
  11. Shon S. Knowledge and Performance on Infection Control among Caregivers in Home Care Services. Journal of Korean Academic Society of Home Care Nursing. 2014;21(1):69-78. 
  12. Hong Bin Kim. Review : Community-associated methicillin -resistant Staphylococcus aureus (CA-MRSA). The Korean Journal of Medicine. 2007;72(2):120-130. 
  13. Ju Yeoun Song. Risk Prediction Model of Patients with Carbapenem-resistant Enterobacteriaceae (CRE) Colonization in ICU [dissertation]. Pusan: Pusan National University; 2018. 
  14. Eui Jin Chang, Hong Bin Kim. It Is Time to Address the Isolation Policy for Patients Colonized with Vancomycin-resistant Enterococci. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2021;26(1):16-23.  https://doi.org/10.14192/kjicp.2021.26.1.16
  15. Om Sub Kwak, Mee Hye Kwon, Ji Hyun Jeong, Mi Il Kang, Ji Young Cheun, Go Eun Lee, et al. Molecular Epidemiology and Antimicrobial Resistance of Methicillin-resistant Staphylococcus aureus Isolated from Nasal Swab at Intensive Care Unit. Tuberculosis and Respiratory Diseases. 2008;65(2):91-98.  https://doi.org/10.4046/trd.2008.65.2.91
  16. Sang Hyuk Park, Yoon Ha Jang, Heungsup Sung, Mi-Na Kim, Jae Suk Kim, Yeon Joon Park. Performance Evaluation of BD GeneOhm MRSA PCR Assay for Detection of Nasal Colonization of Methicillin-Resistant Staphylococcus aureus at Endemic Intensive Care Units. Annals of Laboratory Medicine. 2009;29(5):439-447.  https://doi.org/10.3343/kjlm.2009.29.5.439
  17. Choi Kyung Ok, Cho. KN. Effects of Infection Control Strategies for Vancomycin Resistant Enterococci in Intensive Care Units. The Journal of Korean Academic Society of Adult Nursing. 2009;21(4):435-445. 
  18. Furtado GH, Martins ST, Coutinho AP, Wey SB, Medeiros EA. Prevalence and factors associated with rectal vancomycin-resistant enterococci colonization in two intensive care units in Sao Paulo, Brazil. The Brazilian Journal of Infectious Diseases 2005;9(1):64-69. https://doi.org/10.1590/s1413-86702005000100011. 
  19. Su Min Seo, Ihn Sook Jeong. External Validation of Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Model in a Medium Sized Hospital. Journal of Korean Academy of Nursing. 2020;50(4):621-630.  https://doi.org/10.4040/jkan.20137
  20. Do Kyun Kim, Seok Hoon Jeong. Current status of multidrug-resistant bacteria. Journal of the Korean Medical Association. 2022;65(8):468-477.  https://doi.org/10.5124/jkma.2022.65.8.468
  21. Scanvic A, Denic L, Gaillon S, Giry P, Andremont A, Lucet JC. Duration of colonization by methicillin-resistant Staphylococcus aureus after hospital discharge and risk factors for prolonged carriage. Clin Infect Dis. 2001;32(10):1393-1398. https://doi.org/10.1086/320151. 
  22. Kyoung-Ho Song. Antibiotics for multidrug-resistant gram-positive bacteria. Journal of Korean Medical Association. 2022;65(8):478-489.  https://doi.org/10.5124/jkma.2022.65.8.478
  23. Dong Suk Lee, Eun Suk Park, Dongeun Yong, Jun Yong Choi, LEE KW, Sun Ha Jee. Risk Factors for Prolonged Carriage and Reacquisition of Vancomycin-resistant Enterococci. Korean Journal of Nosocomial Infection Control. 2015;20(1). https://doi.org/10.14192/kjnic.2015.20.1.19. 
  24. Byers KE, Anglim AM, Anneski CJ, Farr BM. Duration of colonization with vancomycin-resistant Enterococcus. Infect Control Hosp Epidemiol. 2002;23(4):207-211. https://doi.org/10.1086/502036. 
  25. Sun Wha Jung, Sang Shin Park. Outbreak of Carbapenem-resistant Enterobacteriaceae (CRE) in a Long-term Acute Care Facility in the Republic of Korea. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2022;27(1):43-50.  https://doi.org/10.14192/kjicp.2022.27.1.43
  26. Hyo-Jin Lee, Dong-Gun Lee. Carbapenem-resistant Enterobacteriaceae: recent updates and treatment strategies. Journal of the Korean Medical Association. 2018;61(4):281-289.  https://doi.org/10.5124/jkma.2018.61.4.281
  27. Sook Jin Byun, Ji Yeon Kang. Risk Factors and Clinical Outcomes for Vancomycin-Resistant Enterococcus Colonization on Intensive Care Unit Admission. Journal of Korean Academy of Nursing. 2013;43(2):287-295.  https://doi.org/10.4040/jkan.2013.43.2.287
  28. Eun Seo Lee, Hae Jin Yang, Yu Mi Wi, Su Jin Jin, Kyung Hwa Seo, Jeong Hyun Kim, et al. The Rate of Nasal Colonization of Methicillin-resistant Staphylococcus aureus at Admission to Intensive Care Units in a Secondary Hospital: The Importance of Nasogastric Tube. Korean Journal Healthcare-associated Infection Control and Prevention. 2014;19(2):37-44.  https://doi.org/10.14192/kjnic.2014.19.2.37
  29. Su Hyun Kim, Jung Hwa Ryu, Myung Shin Kim, Choi. HJ. The risk factors and prognosis of methicillin-resistant staphylococcus aureus bacteremia: focus on nosocomial acquisition. The Korean Journal of Medicine. 2006;71(4):405-414. 
  30. Heo Chan-Yeong, Kim Jung-Yoon, Eun Seok-Chan, Baek Rong-Min, Kyung-Won. M. Bacteriology and Antibiotics Sensitivity for Pressure Sore. Archives of Plastic Surgery. 2007;34(3):314-318. 
  31. Su Ha Han, Ho Ran Park. Risk Factors for Colonization and Acquisition with Vancomycin-Resistant Enterococci in Intensive Care Units. The Korean journal of fundamentals of nursing. 2008;15(4):522-530. 
  32. Korea Disease Control and Prevention Agency. 2023 recommendations for healthcare-associated infections, p.134.